Strengthened by community, prayer, commitment to the poor and the legacy of our founders, and in partnership with others, we Alexian Brothers witness the Healing Christ by a holistic approach to promoting health and caring for the sick, dying, aged, and unwanted of all socio-economic levels.
Alexian Brothers Health System’s recent giving is defined by broad general support to its own health and care network, with the largest grant in the latest year reaching $4,513,487 for Alexian Brothers Hospital Network. The foundation’s pattern points to a long-running commitment to health-related services, especially behavioral health, hospice and palliative care, elder care, and care for people facing social vulnerability. In the recent grants list, Alexian Brothers Center for Mental Health received $1,778,318 in 2023 and another $1,220,733 in 2024, showing repeated support across years. Alexian Brothers Behavioral Health Hospital also appears multiple times, including $1,304,087 in 2023 and $1,220,143 in 2024. The portfolio also includes support for Alexian Brothers Bonaventure House, Rainbow Hospice and Palliative Care, and St Alexius Medical Center, all through general support grants. Its giving aligns with the organization’s stated commitment to promoting health and caring for the sick, dying, aged, and unwanted across socio-economic levels.
Behavioral health is one of the clearest themes in the grant record. Alexian Brothers Center for Mental Health received $1,778,318 in 2023 and $943,016 in 2025 for general support, while Alexian Brothers Behavioral Health Hospital received $1,304,087 in 2023 and $584,898 in 2025. Hospice and palliative care is another repeated area: Rainbow Hospice and Palliative Care was awarded $586,867 in 2024, $172,918 in 2025, and $163,591 in 2023. The foundation also supports hospital operations through general support to Presence Central and Suburban Hospitals Network, which received $4,169,527 in 2023 and $1,221,350 in 2024. Its broader service mix includes support for Alexian Brothers Bonaventure House, reflecting care for people facing housing and health instability.
Typical grant size is substantial: the p25 is $120,435, the median is $631,492, and the p75 is $1,179,689. The recent record shows repeat support to the same recipients across multiple years, especially in hospital, behavioral health, hospice, and related service organizations. Grants are overwhelmingly general support rather than project-specific awards. The foundation also makes program-related investments, and its beneficiary profile is nonprofit organizations rather than individuals.
$10M
$262.4M
$157.7M
$169.8M
Most grants fall between $120K and $1.2M, with a median of $631K.
25th Percentile
$120K
Median
$631K
75th Percentile
$1.2M
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Giving is highly concentrated in Missouri: 97% of grants go to recipients in the HQ state, and Missouri is also the top state by grant count. The recipient list is entirely U.S.-based in the data provided. City names in the grants list are mostly St. Louis, including Alexian Brothers Hospital Network, Presence Central and Suburban Hospitals Network, and Alexian Brothers Medical Center. The pattern indicates a local grantmaking footprint centered on the foundation’s own operating network.
The recent grants list shows support for hospitals, behavioral health providers, hospice and palliative care organizations, and related service entities. Examples include Alexian Brothers Hospital Network, Alexian Brothers Center for Mental Health, Rainbow Hospice and Palliative Care, and Presence Behavioral Health, almost all funded with general support.
Typical grant size is relatively large. The p25 is $120,435, the median grant is $631,492, and the p75 is $1,179,689. Recent awards also include multimillion-dollar grants, such as $4,513,487 to Alexian Brothers Hospital Network in 2025.
The grant recipient country distribution is entirely U.S.-based in the provided data: 34 grants, or 100%, went to recipients in the United States.
Many recipients appear in multiple years. Alexian Brothers Center for Mental Health, Alexian Brothers Behavioral Health Hospital, Presence Central and Suburban Hospitals Network, Rainbow Hospice and Palliative Care, and St Alexius Medical Center each received more than one grant across 2023, 2024, and 2025.
The recent grants are almost entirely described as general support, indicating flexible funding rather than tightly restricted project grants. The foundation also makes program-related investments and gives to nonprofit organizations rather than individuals.
2025
Source: IRS Form 990-PF, fiscal year 2025.
Most recent grants reported to the IRS.
| Recipient | Location | Amount | Year | Purpose |
|---|---|---|---|---|
| Alexian Brothers Hospital Network | ST LOUIS, MO | $4,513,487 | 2025 | GENERAL SUPPORT |
| PRESENCE BEHAVIORAL HEALTH | ST LOUIS, MO | $1,246,466 | 2025 | GENERAL SUPPORT |
| ALEXIAN BROTHERS CENTER FOR MENTAL HEALTH | ST LOUIS, MO | $943,016 | 2025 | GENERAL SUPPORT |
| PRESENCE CHICAGO HOSPITALS NETWORK | ST LOUIS, MO | $810,146 | 2025 | GENERAL SUPPORT |
| PRESENCE CENTRAL AND SUBURBAN HOSPITALS NETWORK | ST LOUIS, MO | $677,951 | 2025 | GENERAL SUPPORT |
| ALEXIAN BROTHERS BONAVENTURE HOUSE | ST LOUIS, MO | $626,040 | 2025 | GENERAL SUPPORT |
| ALEXIAN BROTHERS BEHAVIORAL HEALTH HOSPITAL | ST LOUIS, MO | $584,898 | 2025 | GENERAL SUPPORT |
| ALEXIAN BROTHERS MEDICAL CENTER | ST LOUIS, MO | $274,098 | 2025 | GENERAL SUPPORT |
| RAINBOW HOSPICE AND PALLIATIVE CARE | ST LOUIS, MO | $172,918 | 2025 | GENERAL SUPPORT |
| Alexian Brothers Specialty Group | ST LOUIS, MO | $117,873 | 2025 | GENERAL SUPPORT |
| ST ALEXIUS MEDICAL CENTER | ST LOUIS, MO | $53,752 | 2025 | GENERAL SUPPORT |
| PRESENCE CENTRAL AND SUBURBAN HOSPITALS NETWORK | ST LOUIS, MO | $1,221,350 | 2024 | GENERAL SUPPORT |
| ALEXIAN BROTHERS CENTER FOR MENTAL HEALTH | ST LOUIS, MO | $1,220,733 | 2024 | GENERAL SUPPORT |
| ALEXIAN BROTHERS BEHAVIORAL HEALTH HOSPITAL | ST LOUIS, MO | $1,220,143 | 2024 | GENERAL SUPPORT |
| PRESENCE BEHAVIORAL HEALTH | ST LOUIS, MO | $1,058,328 | 2024 | GENERAL SUPPORT |
| PRESENCE CHICAGO HOSPITALS NETWORK | ST LOUIS, MO | $906,294 | 2024 | GENERAL SUPPORT |
| ALEXIAN BROTHERS BONAVENTURE HOUSE | ST LOUIS, MO | $636,945 | 2024 | GENERAL SUPPORT |
| RAINBOW HOSPICE AND PALLIATIVE CARE | ST LOUIS, MO | $586,867 | 2024 | GENERAL SUPPORT |
| ALEXIAN BROTHERS MEDICAL CENTER | ST LOUIS, MO | $405,364 | 2024 | GENERAL SUPPORT |
| ST ALEXIUS MEDICAL CENTER | ST LOUIS, MO | $83,405 | 2024 | GENERAL SUPPORT |
| ALEXIAN BROTHERS SPECIALTY GROUP | ST LOUIS, MO | $11,163 | 2024 | GENERAL SUPPORT |
| PRESENCE CENTRAL AND SUBURBAN HOSPITALS NETWORK | ST LOUIS, MO | $4,169,527 | 2023 | GENERAL SUPPORT |
| ALEXIAN BROTHERS CENTER FOR MENTAL HEALTH | ST LOUIS, MO | $1,778,318 | 2023 | GENERAL SUPPORT |
| PRESENCE CHICAGO HOSPITALS NETWORK | ST LOUIS, MO | $1,477,555 | 2023 | GENERAL SUPPORT |
| ALEXIAN BROTHERS BEHAVIORAL HEALTH HOSPITAL | ST LOUIS, MO | $1,304,087 | 2023 | GENERAL SUPPORT |
| PRESENCE BEHAVIORAL HEALTH | ST LOUIS, MO | $672,609 | 2023 | GENERAL SUPPORT |
| ALEXIAN BROTHERS BONAVENTURE HOUSE | ST LOUIS, MO | $648,979 | 2023 | GENERAL SUPPORT |
| RAINBOW HOSPICE AND PALLIATIVE CARE | ST LOUIS, MO | $163,591 | 2023 | GENERAL SUPPORT |
| ST ALEXIUS MEDICAL CENTER | ST LOUIS, MO | $128,121 | 2023 | GENERAL SUPPORT |
| ALEXIAN BROTHERS MEDICAL CENTER | ST LOUIS, MO | $68,825 | 2023 | GENERAL SUPPORT |
| Alexian Brothers Hospital Network | ST LOUIS, MO | $64,933 | 2023 | GENERAL SUPPORT |
| PRESENCE CARE TRANSFORMATION CORPORATION | ST LOUIS, MO | $31,713 | 2023 | GENERAL SUPPORT |
| CommunityHealth | Chicago, IL | $9,800 | 2023 | GENERAL SUPPORT |
| Alexian Brothers Medical Group Specialty Care | ST LOUIS, MO | $8,972 | 2023 | GENERAL SUPPORT |
Alexian Brothers Hospital Network
$4,513,487GENERAL SUPPORT
PRESENCE BEHAVIORAL HEALTH
$1,246,466GENERAL SUPPORT
ALEXIAN BROTHERS CENTER FOR MENTAL HEALTH
$943,016GENERAL SUPPORT
PRESENCE CHICAGO HOSPITALS NETWORK
$810,146GENERAL SUPPORT
PRESENCE CENTRAL AND SUBURBAN HOSPITALS NETWORK
$677,951GENERAL SUPPORT
ALEXIAN BROTHERS BONAVENTURE HOUSE
$626,040GENERAL SUPPORT
ALEXIAN BROTHERS BEHAVIORAL HEALTH HOSPITAL
$584,898GENERAL SUPPORT
ALEXIAN BROTHERS MEDICAL CENTER
$274,098GENERAL SUPPORT
RAINBOW HOSPICE AND PALLIATIVE CARE
$172,918GENERAL SUPPORT
Alexian Brothers Specialty Group
$117,873GENERAL SUPPORT
ST ALEXIUS MEDICAL CENTER
$53,752GENERAL SUPPORT
PRESENCE CENTRAL AND SUBURBAN HOSPITALS NETWORK
$1,221,350GENERAL SUPPORT
ALEXIAN BROTHERS CENTER FOR MENTAL HEALTH
$1,220,733GENERAL SUPPORT
ALEXIAN BROTHERS BEHAVIORAL HEALTH HOSPITAL
$1,220,143GENERAL SUPPORT
PRESENCE BEHAVIORAL HEALTH
$1,058,328GENERAL SUPPORT
PRESENCE CHICAGO HOSPITALS NETWORK
$906,294GENERAL SUPPORT
ALEXIAN BROTHERS BONAVENTURE HOUSE
$636,945GENERAL SUPPORT
RAINBOW HOSPICE AND PALLIATIVE CARE
$586,867GENERAL SUPPORT
ALEXIAN BROTHERS MEDICAL CENTER
$405,364GENERAL SUPPORT
ST ALEXIUS MEDICAL CENTER
$83,405GENERAL SUPPORT
ALEXIAN BROTHERS SPECIALTY GROUP
$11,163GENERAL SUPPORT
PRESENCE CENTRAL AND SUBURBAN HOSPITALS NETWORK
$4,169,527GENERAL SUPPORT
ALEXIAN BROTHERS CENTER FOR MENTAL HEALTH
$1,778,318GENERAL SUPPORT
PRESENCE CHICAGO HOSPITALS NETWORK
$1,477,555GENERAL SUPPORT
ALEXIAN BROTHERS BEHAVIORAL HEALTH HOSPITAL
$1,304,087GENERAL SUPPORT
PRESENCE BEHAVIORAL HEALTH
$672,609GENERAL SUPPORT
ALEXIAN BROTHERS BONAVENTURE HOUSE
$648,979GENERAL SUPPORT
RAINBOW HOSPICE AND PALLIATIVE CARE
$163,591GENERAL SUPPORT
ST ALEXIUS MEDICAL CENTER
$128,121GENERAL SUPPORT
ALEXIAN BROTHERS MEDICAL CENTER
$68,825GENERAL SUPPORT
Alexian Brothers Hospital Network
$64,933GENERAL SUPPORT
PRESENCE CARE TRANSFORMATION CORPORATION
$31,713GENERAL SUPPORT
CommunityHealth
$9,800GENERAL SUPPORT
Alexian Brothers Medical Group Specialty Care
$8,972GENERAL SUPPORT